EMERGENCY MEDICINE EOR EXAM LATEST ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+

EMERGENCY MEDICINE EOR EXAM LATEST 2023-

2024 ACTUAL EXAM 250 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS) |

ALREADY GRADED A+

Paroxysmal supraventricular tachycardia is a reentry tachycardia,

commonly noted in elderly patients with underlying heart disease. What

treatment may be helpful before using adenosine ie. the drug of choice? -

ANSWER- vagal maneuvers or antianxiety medication

What are some drugs associated with Torsades de pointes? - ANSWERtricyclic antidepressants, erythromycin, ketoconazole, haloperidol,

cisapride, disopyramide, pentamidine, sotalol, class I anti-arrhythmics

CHF - Systolic dysfunction means a problem with the ____. What drug

is contraindicated? - ANSWER- pump; CCB!

CHF - Diastolic dysfunction means a problem with the ____. -

ANSWER- compliance or relaxation of the heart during ventricular

filling

The ________principle means that as preload increases, the ventricle is

stretched during diastole filling and the ejection fraction is increased. -

ANSWER- Frank-Starling principle

_____is released from cardiac ventricles in response to increased wall

tension. - ANSWER- BNP - B-type natriuretic peptide

What is the pharmacologic therapy for heart failure? - ANSWER- 1.

diuretics for fluid retention

2. ACEi

3. vasodilators (hydralazine & nitrates)

4. BB for LV dysfunction

5. digitalis to increase cardiac contractility

Functional Classification of Heart Failure:

___-No cardiac symptoms with ordinary activity.

___-Cardiac symptoms w MARKED activity but asymptomatic at rest

___-Cardiac symptoms w MILD activity but asymptomatic at rest

___-Cardiac symptoms at rest. - ANSWER- Class I, Class II, Class III,

Class IV

Stage 1 Hypertension is defined as greater than ____. Stage 2

Hypertension is defined as greater than ____. - ANSWER- 140/90;

160/100

Hypertension Drug of Choice for:

angina

diabetes

hyperlipidemia

CHF

Previous MI

Chronic Renal Failure

Asthma, COPD - ANSWER- Angina - BB, CCB

Diabetes - ACEi & CCB, avoid diuretics

Hyperlipidemia - ACEi & CCB, avoid diuretics/BB

CHF - diuretics & ACEi, avoid CCB/BB

Previous MI - BB/ACEi

Chronic renal failure - diuretics, CCB

Asthma - diuretics & CCB, avoid BB

Secondary hypertension is HTN due to an ______. - ANSWERidentifiable cause ie. renovascular disease, coarctation of the aorta,

primary aldosteronism, Cushing's, Pheochromocytoma, OSA, renal

parenchymal hypertension

____hypertension is potentially life threatening - HTN plus

rentinopathy, cardiovascular/renal compromise, or encephalopathy. -

ANSWER- Malignant

Malignant hypertension bp? What is the rule of thumb for lowering? -

ANSWER- greater than 220/140; 10% in first hour and 15% for the next

3-12 hours, to normal over next 2 days

What is the agent of choice for BP lowering for patients with

hypertensive encephalopathy, intracranial bleeding, and heart failure?

Use with what for dissecting aneurysm? - ANSWER- nitroprusside;

propranolol -- clonidine can also be used but sedation is common

Hypotension is defined as a systolic blood pressure less than _____mm

Hg or a decrease from baseline by more than 30mmHg. What are the 3

treatments for improving blood pressure? - ANSWER- 90mmHg;

1. IV Fluids

2. Vasopressors - dopasmine, dobutamine (risk is aggravation of

arrhythmias and increase myocardial oxygen demand)

3. intra-aortic balloon pump

ST Elevations in II, III, aVF - ANSWER- Inferior MI; right coronary

artery

ST Elevations in I, aVL, V4, V5, V6 - ANSWER- lateral wall MI, left

circumflex artery

ST Elevations in V1, V2, V3, V4, V5 - ANSWER- Anterioseptal MI,

left anterior descending artery

ST Elevations in V1, V2 - ANSWER- posterior wall MI, posterior

descending artery

No nitroglycerin in which kind of MI? - ANSWER- inferior

No comments found.

Login to post a comment

This item has not received any review yet.

Login to review this item

No Questions / Answers added yet.

Category	Exams and Certifications
Comments	0
Rating
Sales	0

Buy Our Plan

We have

Buy Our Plan

We have

Share on